Active NPI
Anita Makowski, PAC
- Medical Physician Assistant
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA18004
- Practice address
- 3441 Marysville Blvd
Sacramento, CA 95838-4512 - Phone
- (916) 563-7234
- Fax
- (916) 563-7229
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Garner, NC
- NPI 1346501673
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wake Specialty Physicians LLCLegacy Healthcare Services Inc
Practice addresses (Care Compare)
10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300
231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Phone (919) 235-6410
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Hospital & facility affiliations
- Medi Home Health Agency
- Wakemed Home Health
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171206002733 | NC | Practitioner - Physician Assistant | 3971860529 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18004 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Past | Accepting new patients |
Interoperability endpoints
- amakowski151011@directhisp.wakemed.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA18004 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3441 Marysville Blvd
Sacramento, CA 95838-4512
Mailing address
3441 Marysville Blvd
Sacramento, CA 95838-4512
Phone (916) 563-7234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639104649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3441 MARYSVILLE BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958384512",
"telephone_number": "916-563-7234",
"fax_number": "916-563-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3441 MARYSVILLE BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958384512",
"telephone_number": "916-563-7234",
"fax_number": "916-563-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKOWSKI",
"first_name": "ANITA",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA18004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.